Dr. Whitten just evaluated Ms. Sanchez and has written the following orders: Choose which order must be completed first.

Ceftriaxone 1 gm IVPB

Antipyretic given every 6 hours

Blood and sputum cultures

Monitor Blood Glucose before meals and at Bedtime

Monitor I and O

Answer and Explanation

The Correct Answer is C

Choice A reason: Ceftriaxone treats infection, but giving it before cultures risks sterilizing samples, skewing results. It’s critical therapy, yet obtaining accurate diagnostics first ensures targeted treatment, delaying antibiotics briefly.

Choice B reason: Antipyretics reduce fever, a symptom, not the cause. Cultures take priority to identify pathogens before comfort measures, as fever management doesn’t alter diagnostic or treatment urgency in this case.

Choice C reason: Blood and sputum cultures identify the causative organism in suspected infection (e.g., pneumonia). They must be obtained first, before antibiotics, to ensure accuracy, guiding effective therapy and avoiding false negatives.

Choice D reason: Monitoring glucose is routine, not urgent in acute infection unless diabetic crisis is suspected. Cultures precede this, as identifying the pathogen drives treatment, while glucose can wait without immediate risk.

Choice E reason: Monitoring intake and output tracks fluid status, useful but secondary in acute infection. Cultures are the priority to diagnose and treat effectively, as I&O doesn’t alter initial management decisions.

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Correct Answer is ["B","D","E"]

Explanation

Choice A reason: Bradypnea (slow breathing) isn’t typical in asthma exacerbation; tachypnea occurs due to airway obstruction. Reduced respiratory rate suggests fatigue or resolution, not active exacerbation, contradicting the physiology of acute bronchoconstriction.

Choice B reason: Wheezing results from turbulent airflow through narrowed bronchioles in asthma exacerbation. It’s a hallmark sign, reflecting reversible obstruction from inflammation and bronchospasm, consistently present during acute episodes requiring intervention.

Choice C reason: Bradycardia isn’t associated with asthma exacerbation; tachycardia is common from hypoxia and stress. Slow heart rate may indicate severe hypoxia late-stage, but it’s not a typical finding in active exacerbation.

Choice D reason: Accessory muscle use (e.g., sternocleidomastoid) compensates for obstructed airflow in asthma exacerbation. It reflects increased work of breathing due to bronchoconstriction, a frequent physical sign during acute respiratory distress.

Choice E reason: Decreased oxygen saturation occurs in asthma exacerbation from ventilation-perfusion mismatch. Inflamed airways limit oxygen delivery, dropping SpO2 below 95%, a common finding necessitating bronchodilators and oxygen therapy.

A. Decreased dyspnea and orthopnea B. HgA1C less than 7 C. Reduction in peripheral edema D. Stabilized or decreased BNP level

Correct Answer is ["A","C","D"]

Explanation

Choice A reason: Decreased dyspnea and orthopnea reflect improved lung fluid clearance in heart failure. These symptoms lessen with reduced preload and better cardiac output, key goals indicating effective management and patient comfort.

Choice B reason: HgA1C <7 targets diabetes, not heart failure directly. While glycemic control benefits vasculature, it’s not a primary outcome measure for heart failure, which focuses on fluid and pump function instead.

Choice C reason: Reduced peripheral edema shows less fluid retention, a heart failure goal. It results from improved cardiac output and diuresis, alleviating discomfort and signaling successful treatment of volume overload.

Choice D reason: Stabilized or decreased BNP (<100 pg/mL ideally) indicates lower cardiac stress in heart failure. This biomarker drops with reduced wall tension, reflecting effective therapy and a key outcome measure.

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Dr. Whitten just evaluated Ms. Sanchez and has written the following orders: Choose which order must be completed first.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Sara has been admitted to the unit for asthma exacerbation. Which assessment findings are commonly associated with asthma exacerbation? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

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Correct Answer is ["A","C","D"]

Explanation

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Dr. Whitten just evaluated Ms. Sanchez and has written the following orders: Choose which order must be completed first.

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